Quality improvement in the golden hour for premature infants: a scoping review

Sheng, Lijuan1,2; Zhong, Guichao1,2; Xing, Ruirui1,2; Yan, Xudong1,2; Cui, Huanjin1,2; Yu, Zhangbin1,2

2024-02-01

10.1186/s12887-024-04558-9

BMC PEDIATRICS   影响因子和分区

1471-2431

Background and objectiveEvidence-based research has shown that golden hour quality improvement (QI) measures can improve the quality of care and reduce serious complications of premature infants. Herein, we sought to review golden hour QI studies to evaluate the impact on the outcome of preterm infants.MethodsA comprehensive literature search was conducted in PubMed, Embase, Cochrane Library, and SinoMed databases from inception to April 03, 2023. Only studies describing QI interventions in the golden hour of preterm infants were included. Outcomes were summarized and qualitative synthesis was performed.ResultsTen studies were eligible for inclusion. All studies were from single centers, of which nine were conducted in the USA and one in Israel. Seven were pre-post comparative studies and three were observational studies. Most included studies were of medium quality (80%). The most common primary outcome was admission temperatures and glucose. Five studies (n = 2308) reported improvements in the admission temperature and three studies (n = 2052) reported improvements in hypoglycemia after QI. Four studies (n = 907) showed that the incidence of bronchopulmonary dysplasia (BPD) was lower in preterm infants after QI: 106/408 (26.0%) vs. 122/424(29.5%) [OR = 0.68, 95% CI 0.48-0.97, p = 0.04].ConclusionsOur study showed that the golden hour QI bundle can improve the short-term and long-term outcomes for extremely preterm infants. There was considerable heterogeneity and deficiencies in the included studies, and the variation in impact on outcomes suggests the need to use standardized and validated measures. Future studies are needed to develop locally appropriate, high-quality, and replicable QI projects.

Quality improvement Golden hour Extremely premature infants Extremely low birth weight infants Scoping review

SCI

英语

通讯

Cluster Cohort Study of Very Preterm/Extremely Preterm Infants in Shenzhen[JCYJ20220530152414031]

Pediatrics

Pediatrics

WOS:001155902000001

BMC

Web of Science

1.Jinan Univ, Shenzhen Peoples Hosp, Clin Med Coll 2, Dept Neonatol, Shenzhen 518020, Guangdong, Peoples R China
2.Southern Univ Sci & Technol, Affiliated Hosp 1, Shenzhen 518020, Guangdong, Peoples R China

Sheng, Lijuan,Zhong, Guichao,Xing, Ruirui,et al. Quality improvement in the golden hour for premature infants: a scoping review[J]. BMC PEDIATRICS,2024,24(1).

Sheng, Lijuan,Zhong, Guichao,Xing, Ruirui,Yan, Xudong,Cui, Huanjin,&Yu, Zhangbin.(2024).Quality improvement in the golden hour for premature infants: a scoping review.BMC PEDIATRICS,24(1).

Sheng, Lijuan,et al."Quality improvement in the golden hour for premature infants: a scoping review".BMC PEDIATRICS 24.1(2024).